| 04.15.23 | CMS proposes nearly 3% bump to inpatient pay in fiscal 2024

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Weekly Digest

Webinar: Increasing Virtual Care Adoption. Reversing the Post-Pandemic Utilization Dip

Thursday, April 27, 2023 | 2:00pm ET / 11:00am

Simply providing virtual care isn’t enough – it needs to fit into business metrics and provide a user experience that is engaging and increases utilization. Join this webinar as we discuss and take questions on consumer expectations when seeking personalized, integrated care post-COVID and more. Register now.

This Week

Apr 15, 2023

CMS proposes nearly 3% bump to inpatient pay in fiscal 2024 and installs equity requirements

Layoffs are ramping up among hospitals and health systems. Here are 34 examples from 2023

UnitedHealth quietly scoops up New York physician group Crystal Run - Robert King

eBook: The payment integrity playbook for success in 2023 and beyond

If 2022 taught us anything about healthcare payments, it is that the need for claims payment integrity is paramount for payers. Not only does every inappropriately paid claim represent a financial loss that can detract from member care, but these errors also erode the payer-provider relationship. How can we ensure this wisdom carries over into the new year? Download now to learn more.

Featured

CMS proposes nearly 3% bump to inpatient pay in fiscal 2024 and installs equity requirements

By Robert King

CMS is proposing to increase inpatient hospital payments by nearly 3% in the 2024 fiscal year and add equity requirements to a quality program amid other changes.

Layoffs are ramping up among hospitals and health systems. Here are 34 examples from 2023

By Dave Muoio

Industrywide shortages of clinical labor may be in the spotlight, but escalating expenses and other financial pressures have many providers axing administrative and managerial staff.

UnitedHealth quietly scoops up New York physician group Crystal Run

By Paige Minemyer

UnitedHealth Group has quietly added yet another provider group to its growing Optum Health subsidiary.

Texas judge suspends FDA approval of abortion pill but gives HHS time to appeal

By Robert King

A federal judge in Texas has decided to suspend FDA approval of the abortion pill mifepristone but will give HHS time to appeal the decision.

Solution Brief: RingCentral MVP for Healthcare Providers

With integrated instant messaging, video conferencing, and cloud PBX, RingCentral MVP helps healthcare providers to better connect with their patients and streamline internal collaboration. Learn more about how it helps put connection at the center of care. Download now.

Former Outcome Health executives found guilty in $1B corporate fraud case

By Heather Landi

Outcome, formerly called ContextMedia, was one of Chicago’s high-flying startups, pulling in $500 million during its first round of funding in May 2017 and attracting high-profile investors.

Younger Medicare beneficiaries more likely to report issues with access, cost: study

By Paige Minemyer

Younger people enrolled in Medicare due to long-term disabilities report greater challenges with access and affordability than seniors who receive Medicare coverage, according to a new study.

Availity picks up Olive AI's payer-facing business as automation startup shifts focus to RCM solutions

By Heather Landi

Health tech solution company Availity scooped up Olive AI's business solution that automates prior authorization approvals.

Evernorth's Accredo launches care management program for rare, complex conditions

By Paige Minemyer

Evernorth's Accredo specialty pharmacy arm has rolled out a new program that aims to assist members and plan sponsors in better managing the cost and complexity of therapies for rare conditions.

Microsoft expands cloud capabilities for payers, rolls out new AI services

By Heather Landi

Microsoft has rolled out new cloud capabilities for payers to harness data for better member outreach and care management. The tech giant also recently rolled out new AI capabilities to unlock unstructured data for advances in cancer research and clinical trial matching.

Appeals court keeps abortion drug approval intact but restricts access

By Robert King

A federal appeals court has partially stayed a lower court's ruling that suspended FDA approval of the abortion drug mifepristone.

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Whitepaper: Reduce Surprise Bills - and Denials - with the Right RCM Tools

Much of the focus of the No Surprises Act falls on surprise medical bills for care received in the hospital, but that does not mean ambulatory providers should ignore the law. Fortunately, the right revenue cycle management tools can help ambulatory practices comply– and, at the same time, put in place automated workflows that increase the number of claims paid on the first pass. Download now.